Active NPI
Natasha Jacobs Lowery, PA
- Physician Assistant
- Whiteville, NC
National Provider Identifier
1508079476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 104003
- Practice address
- 732 Davis Ave
Whiteville, NC 28472-6002 - Phone
- (910) 207-6597
- Fax
- (910) 207-6599
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 104003 | NC | |
| Physician Assistant | 363A00000X | 104003 | NC | Primary |
Addresses
Primary practice location
732 Davis Ave
Whiteville, NC 28472-6002
Mailing address
12745 Rosindale Rd
Lake Waccamaw, NC 28450-9722
Phone (910) 827-1044
Other practice location 1
612 Jefferson St
Suite 32
Whiteville, NC 28472-3708
Phone (910) 642-6452
Other names 1
- Natasha Faye Jacobs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080502000143 | NC | Practitioner - Physician Assistant | 0042399081 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Duke University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advantage Behavioral Healthcare Inc
Practice addresses (Care Compare)
732 Davis Ave
Whiteville, NC 28472-6002
Phone (910) 640-1038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Medical Services, PLLC | Physician Assistant | Past | Accepting new patients |
| Advantage Behavioral Healthcare Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Whiteville, NC
- NPI 1689053613
Physician Assistant
-
- Mental Health Counselor
- Whiteville, NC
- NPI 1902100019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1508079476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12745 ROSINDALE RD",
"city": "LAKE WACCAMAW",
"state": "NC",
"postal_code": "284509722",
"telephone_number": "910-827-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 DAVIS AVE",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284726002",
"telephone_number": "910-207-6597",
"fax_number": "910-207-6599"
}
],
"practiceLocations": [
{
"address_1": "612 Jefferson St",
"address_2": "Suite 32",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "284723708",
"country_code": "US",
"telephone_number": "910-642-6452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOWERY",
"first_name": "NATASHA",
"middle_name": "JACOBS",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "NC",
"license": "104003",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "104003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATASHA",
"last_name": "JACOBS",
"middle_name": "FAYE",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.